Pediatric Orthopaedics - from Kirschner wires to titanium

Fucs, Patricia M. M. B.; Scarlat, Marius M.

doi:10.1007/s00264-017-3677-x

Cited by 4 publications

(5 citation statements)

References 22 publications

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“…The approach of making allowance for the size of the fragment and the age of the patient may be particularly helpful in the treatment of the pediatric patient. 1…”

Section: Discussionmentioning

confidence: 99%

“…The treatment of fractures in children requires strategies that are specifically designed for patients with open epiphyseal plates. 1 Fractures of the lateral and/or medial condyle of the humerus in children may lead to severe restrictions of the Introduction The treatment of the displaced fracture of the lateral condyle of the distal humerus in children aims not only to avoid nonunion, malalignment, and impairment of the range of motion of the elbow but also to prevent delayed healing and the development of any prearthrotic deformity. To date there is no agreement on what kind of osteosynthesis should be used.…”

Section: Introductionmentioning

confidence: 99%

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Lateral Condyle Fracture of the Humerus in Children: Kirschner Wire or Screw Fixation?

et al. 2020

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Introduction The treatment of the displaced fracture of the lateral condyle of the distal humerus in children aims not only to avoid nonunion, malalignment, and impairment of the range of motion of the elbow but also to prevent delayed healing and the development of any prearthrotic deformity. To date there is no agreement on what kind of osteosynthesis should be used. So far, the screw fixation and Kirschner wire fixation have both been applied. Therefore, the goal of this study was to compare the outcome of these two methods. Materials and Methods A retrospective cohort study was undertaken including 43 patients aged 2 to 13 years who underwent osteosynthesis for a condylar fracture of the humerus over a period of 10 years. The electronic archive, including the radiological diagnostics, was analyzed. Statistical analysis was performed using IBM SPSS Statistics 20.0. Statistical significance was set at an α level of p = 0.05. Results Kirschner wire fixation was performed in 48.9% of condylar fractures of the humerus while screw fixation (alone or in combination with a pin) was assessed with a percentage of 51.1% of the cases in this study. Screw fixation only was applied in 20.9% of fractures of the lateral condyle. The selection of the method was independent of the age of the patient (p = 0.2). The comparison of the rate of complications and an impaired range of motion after Kirschner wire osteosynthesis to the rate after screw osteosynthesis showed a significantly lower percentage for the Kirschner wire group (p = 0.046). No case of nonunion, nerve palsy, or pin migration was detected in any patient in this study. Conclusion Kirschner wire fixation of condylar humeral fractures in children resulted in a lower rate of complications than screw fixation. No case of nonunion of the fracture was found in the patients that we investigated so that we conclude that Kirschner wires sufficiently adapt the fracture in these cases. Level of Evidence Level III.

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“…The approach of making allowance for the size of the fragment and the age of the patient may be particularly helpful in the treatment of the pediatric patient. 1…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Lateral Condyle Fracture of the Humerus in Children: Kirschner Wire or Screw Fixation?

et al. 2020

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“…The readers are encouraged to react by letters to the Editor that are generally meaningful and useful in the debate. We are also respectful to our readers by publishing editorials on specific, timely topics, as well as on general orthopaedic practice [47][48][49][50][51][52][53]. We are proud that a high percentage of the published papers in the last two years were cited.…”

Section: Useful and Useless Publicationsmentioning

confidence: 95%

Useful and useless publications measured by bibliometrics and scientometrics in orthopaedic surgery. Are the relevance of a journal and publication metrics useful enough for the scientific promotion of surgeons?

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et al. 2020

International Orthopaedics (SICOT)

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“…Orthopédie (orthopaedics), a French term coined by seventeenth-century physician Nicholas Andry de Bois-Regard derived from the Greek words ὀρθός (orthos; correct or straight), and παιδίον (paidion; child) has shown substantial advances over the past decades. Many subspecialties have appeared and evolved, with significant progress in clinics, as well as in basic science and research [1][2][3][4][5][6]. Consequently, high-volume orthopaedic surgeons have contributed to highvolume journals with a significant number of high-quality clinical and research papers [4,[7][8][9].…”

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confidence: 99%